Trump's 2020 budget proposal: 5 healthcare takeaways

Trump's 2020 budget proposal: 5 healthcare takeaways

Trump's 2020 budget proposal: 5 healthcare takeaways

WASHINGTON-The White House unveiled a new budget resolution calling for a significant cut to federal government spending.

At the federal level, the budget's $4.7 trillion in spending and $3.6 trillion in projected revenues results in a $1.1 trillion deficit in FY20, followed by two more years where the deficit remains above $1 trillion.

Like past presidential budget proposals, Trump's plan was highly unlikely to become law.

The response by congressional Democrats and the media to the Trump budget has been to focus on the $8.6 billion request for the border wall-the issue that was the trigger for a 35-day partial shutdown of the federal government that ended in late January.

Trump's budget plan increases spending on his border wall and the military but is light on fresh ideas heading into his re-election campaign.

Neither DHS nor the White House responded to HuffPost queries about why that agency had not yet put together a plan for use of DOD money if the situation at the border is as big a "crisis" as the president continues to claim.

The budget provides $291 million to "defeat the HIV/AIDS epidemic" with hopes of eliminating 90 percent of new infections within 10 years.

Massachusetts Democrats criticized the president's call for a 9 percent cut to programs that support nutrition assistance, pre-school grants and job training; billions of dollars in reductions to Medicare and Medicaid spending and proposed repeal of the Affordable Care Act.

Economic progress made under Trump's presidency has been threatened by "our unsustainable national debt, which has almost doubled under the previous administration and now stands at more than $22 trillion", he said at a White House press briefing on March 11.

The stakes for a spending deal of some sort in Congress are high this year. "It's only now in our third budget that they're willing to have a conversation about the national debt". About $718 billion would go to the Defense Department.

Specific military spending categories that have been reported include $104 billion for research and development, with the main focus on hypersonic weapons (missiles and planes flying much faster than sound), on artificial intelligence systems (cyberwarfare and automated battlefield weapons), and "space-based technologies".

As much as we wish it were otherwise, the bad far outweighs the good in the Trump budget.


To circumvent Congress, Trump declared a national emergency at the border last month as a way to access funding. "Medicaid is the largest public source of funding for long-term services and supports".

In addition, the Department of Homeland Security (DHS) would be provided $5.4 billion to help it fight illegal immigration.

In line with a year ago, the president calls for $200 billion for infrastructure spending that will leverage up to a trillion dollars, with state and private funding complementing the federal funds.

The budget also calls for the extension of individual tax cuts and makes them permanent.

The budget also imposes work requirements for those receiving food stamps and other government aid as part of the cutbacks.

"The president's dramatic cuts to the EPA come at a time when we've already seen a decline in the enforcement of federal environmental regulations", Kuster said.

"What we are doing is putting forward reforms that lower drug prices", he said.

The budget proposes to reduce the average premium subsidy for crop insurance to 48 percent from 62 percent and limit subsidies to producers that posted an adjusted gross income of half-a-million dollars or less.

The budget of the National Institute of Standards and Technology would drop from $986 million to $688 million (30 percent cut).

While past presidents used the release of their annual spending plans as an opportunity to lay out short- and long-term visions, and to influence subsequent negotiations on Capitol Hill, Trump has taken the lack of regard for budgets to new lows, reflecting his own lack of interest in policy details, his administration's thin staffing and its overall ambivalence about the nitty-gritty of policy-making.

The Trump administration's 2020 budget blueprint released yesterday is bad news for U.S. science agencies - but on past experience not unexpected.

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